Retina Vitreous Center Of Delaware P.A.

LBN: Retina Vitreous Center Of Delaware P.A.
Retina Vitreous Center Of Delaware P.A. is an health care organization with primary practice located at 4514 Kirkwood Hwy , Wilmington DE 19808-5118. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Retina Vitreous Center Of Delaware P.A. can be contacted via phone (302) 993-0722, or through Santamarina, Leo via phone (410) 392-4976.

Contact Information

Primary practice address
4514 Kirkwood Hwy Wilmington DE 19808-5118
Phone: (302) 993-0722
Fax: (302) 993-0754
Website:
Map and Directions
Authorized official contact:
Name: Santamarina, Leo Doctor of Medicine (MD)
Phone: (410) 392-4976

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C10005728 Delaware
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D0062427 Maryland

Profile Details

NPI number 1043230253
LBN Legal business name Retina Vitreous Center Of Delaware P.A.
DBA Doing business as
Authorized official Santamarina, Leo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043230253 NPPES
Delaware MEDICAID 1000039342

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